FIELD OF THE INVENTION
[0001] The present invention relates to pharmaceutical compositions for use in dermatological,
ophthalmologic, otolaryngologic, dental/oral surgical and urogenital fields, and more
specifically to the use of the penem antibiotic faropenem for topical administration.
PRIOR ART
[0002] Ointments are used for topical administration to treat various diseases due to their
convenience of administration and portability.
[0003] Therapeutic agents comprising antibiotics in an ointment base are useful for treating
local inflammatory or pyogenic diseases caused by bacterial infection. There is a
demand for these ointments, with a number being available.
[0004] For example, ointments containing aminoglycoside, tetracycline and chloramphenicol
antibiotics are commonly used for inflammatory or pyogenic diseases in dermatological,
ophthalmologic, otolaryngologic, dental/oral surgical and urogenital fields. Specific
examples include commercially available dermatological agents for pyogenic diseases,
based on aminoglycoside antibiotics such as kanamycin monosulfate ointments, tetracycline
antibiotics such as tetracycline hydrochloride ointments and chloramphenicol antibiotics
such as chloramphenicol ointments, as well as commercially available ophthalmic ointments
based on macrolide antibiotics such as pimaricin formulations. Ointments containing
tetracycline hydrochloride as a tetracycline antibiotic and hydrocortisone acetate
are commercially available for dental/oral surgical application.
[0005] The active component in antibiotic ointments should be incorporated in a stable form.
Japanese Patent Publication (Kokoku) No. 12728/89 describes a composition for topical
administration as an external dental agent. In this composition, a magnesium compound
is employed to a hydrogel comprising minocycline or a pharmaceutically acceptable
salt thereof as a tetracycline antibiotic in a water-soluble polymer compound and
a polyhydric alcohol to stabilize the antibiotic.
[0006] On the other hand, penem compounds are non-natural β-lactam compounds designed based
on the concept of combining the structures of penicillin and cephalosporin (e.g. see
Woodward, R.B., In Recent Advances in the Chemistry of β-Lactam Antibiotics; Elks,
J., Ed; The Chemical Society; London, 1977; Spec. No. 28, pp. 167-180, Japanese Patent
Public Disclosure (Kokai) Nos. 207387/86, 162694/88, 222486/85 and 119486/79), with
the aim of creating a new range of antibiotics which have the broad antibacterial
spectrum and high safety of penicillin antibiotics and cephem antibiotics belonging
to β-lactam antibiotics combined with the potent antibacterial activity and high stability
to β-lactamase of carbapenem antibiotics. Currently, sodium (+)-(5R, 6S)-6-[(R)-1-hydroxyethyl]-7-oxo-3-[(R)-2-tetrahydrofuryl]-4-thia-1-azabicyclo[3.2.0]hepto-2-ene-2-carboxylate
2.5 hydrate (faropenem sodium, hereinafter referred to as Compound 1) is orally administated
as a therapeutic agent for use in various infections. The penem compounds are reported
to show potent antibacterial activity on not only methicillin-sensitive
Staphylococcus aureus (MSSA),
Streptococcus pyrogenes and
Streptococcus pneumoniae but also gram-positive bacteria less susceptible to conventional β-lactam agents
such as penicillin-resistant
Streptococcus pneumoniae (PRSP), stomatic
Streptococcus spp. and
Enterococcus sp. by virtue of the novel skeleton called penem ring. The broad-spectrum antibacterial
activity covers gram-negative bacteria such as
Haemophilus influenzae and anaerobics such as the genus
Bacteroides (Antibiotics & Chemotherapy, Vol. 13, No. 10, pp. 74-80, 1997). They are also reported
to exhibit potent antibacterial activity on not only pathogenic bacteria of periodontitis
such as
Porphyromonas gingivalis (Chemotherapy, Vol. 42, S-1, pp. 38-50, 1994) but also other strains which are becoming
increasingly resistant, that cause dental infections (Chemotherapy, Vol. 45, No. 11,
pp. 965-971, 1997).
[0007] However, penem compounds, like other β-lactam compounds, are generally chemically
labile to hydrolysis, oxidation, photoisomerization, etc., and no composition for
topical administration has been known that exhibits their excellent efficacy against
inflammatory or pyogenic diseases, or diseases caused by infection with resistant
bacteria.
[0008] Furthermore, in formulating ointments, an active component has to be mixed homogeneously
throughout a semisolid base. When an active component is in the form of crystals or
a crystalline powder like penem antibiotics, it is difficult to achieve overall homogeneity
simply by dispersing the component in a base. Therefore, the component must first
be ground into fine particles or dissolved in solvent, before being kneaded with a
base into an ointment. Pulverization of the component is necessary also in view of
the resulting texture of the formulation. However, no technique for use of penem compound
as a component of an ointment has hitherto been known.
[0009] US 4,683,226, US 4,650,794 and US 4,168,314 disclose various penem derivatives and
their use as antibacterial/antibiotic agent. EP 0 757 050 A1 is concerned with the
modification of the penem derivative faropenem in view of an increased bioavailability.
SUMMARY OF THE INVENTION
[0010] Under the circumstances described above, the inventors conducted extensive studies
to develop a method to topically administer the penem antibiotic faropenem and pharmaceutically
acceptable salts thereof which have a broad-spectrum and a potent antibacterial activity
as well as being highly safe. As a result, the inventors have developed a highly safe
antibacterial composition for topical administration in which the active component
faropenem is incorporated in a stable form. The present invention has been accomplished
based on the finding.
[0011] Accordingly, the present invention relates to an antibacterial composition for topical
administration comprising the penem antibiotic faropenem or a pharmaceutically acceptable
salt thereof incorporated in a non-aqueous base comprising a hydrophobic compound.
[0012] According to the present invention, very unstable penem antibiotics can be stably
incorporated in a non-aqueous base comprising (a) a hydrophobic compound(s) to provide
an antibacterial composition which can be widely used in dermatological, ophthalmologic,
otolaryngologic, dental/oral surgical and urogenital fields.
[0013] Antibacterial compositions of the present invention may further contain various additives
such as water-soluble or hydrophilic polymer compounds conferring thickening effects
to provide various compositions for intended uses without affecting the stability
of active components.
DETAILED DESCRIPTION OF THE INVENTION
[0014] The composition of the present invention is basically a viscous liquid or paste-like
composition comprising the penem antibiotic faropenem or a pharmaceutically acceptable
salt thereof incorporated in a non-aqueous base, and it is typically formulated into
an ointment. It is important that the base of a non-aqueous type comprising a hydrophobic
compound is used to ensure the stability of faropenem.
[0015] Faropenem may be either in the form of a free carboxylic acid or a pharmaceutically
acceptable salt including salts with alkali or alkali earth metals such as sodium,
potassium, calcium, magnesium or amino acids such as lysine or ammonium salts. The
content of faropenem (salt) in the composition may be appropriately determined depending
on the disease to be treated or other factors. For example, faropenem (salt) is incorporated
at 10% by weight or less, normally 0.1 to 5% by weight expressed as free anhydride
on the basis of the whole composition.
[0016] In order to formulate faropenem (salt) into an ointment, the faropenem (salt) must
be incorporated into the composition in such a manner as to ensure its stability while
assuring applicability or usability. In the present invention, proper stability can
be ensured for faropenem (salts) by using a non-aqueous base comprising a hydrophobic
compound.
[0017] As used herein, "non-aqueous" base is a base which is substantially free from water.
Thus, typical examples of non-aqueous bases are hydrophobic (polymer) compounds generally
classified as hydrophobic ointment bases, such as oleaginous ointment bases consisting
of hydrophobic (polymer) compounds commonly used for ointments. Oleaginous ointment
bases include, for example, hydrocarbon gel, paraffin, liquid paraffin, white petrolatum,
petrolatum, microcrystalline wax, plant oils (vegetable oils), carnauba wax, beewax,
stearic acid, stearyl alcohol, cacao butter, cetanol, hard fat, white ointment, simple
ointment and ceresin.
[0018] Included in the non-aqueous bases used in the present invention are some emulsion
bases which are free from any aqueous phase or film coating- or matrix -bases which
are free from any aqueous phase. Emulsion ointment bases free from aqueous phase include
hydrophilic petrolatum and purified lanolin. Film coatings and matrix bases free from
any aqueous phase include acrylic resins which are commercially available under the
trade name Eudragit (aminoalkyl methacrylate copolymer E, aminoalkyl methacrylate
copolymer RS, methacrylic acid copolymer L, methacrylic acid copolymer S, ethyl acrylate·methyl
methacrylate copolymer emulsion, available from Röhm Pharma, Germany) optionally in
combination with plasticizers.
[0019] One or more of these bases are preferably used. Especially preferred are hydrocarbon
gel, white petrolatum and Eudragit.
[0020] Neither hydrophilic bases in general nor many of the emulsion ointment bases, i.e.
those comprising an aqueous phase, such as hydrophilic ointment and absorptive ointment
will provide ointments which are capable of maintaining the activity of incorporated
faropenem (salt).
[0021] When the composition of the present invention is embodied as a pharmaceutical composition
directly administered to a local site in the mouth for treating periodontitis, a high
degree of viscosity will be required to provide a prolonged effect at the target site.
In such a case, additives such as gelatinizers, thickening agents, viscosifiers, viscosity
enhancers and elasticizers may be optionally added. Additives for this purpose include
water-soluble or hydrophilic polymer compounds such as carmellose, carmellose sodium,
polyvinyl alcohol, polyvinyl pyrrolidone, polyacrylic acid, sodium polyacrylate, hydroxymethylcellulose,
hydroxypropylcellulose, hydroxypropylmethylcellulose, hydroxyethylcellulose, hydroxyethylmethylcellulose,
xanthan gum, tragacanth gum, guar gum, locust bean gum, arabic gum, chitosan, sodium
alginate, starches, gelatins, hydrophobically modified-hydroxypropylmethylcellulose
(Sangelose, available from Sankyo Chemical). One or more of these compounds can be
added at a proportion of 0.1 to 10% by weight, preferably 0.5 to 10% by weight on
the basis of the whole composition to further enhance the thickening effect at the
target site.
[0022] The water-soluble or hydrophilic polymer compounds may also be employed to facilitate
the absorption of secreted fluids from body tissues and prevent any contamination
at the location.
[0023] As long as the purposes and effects of the present invention are not compromised,
other components such as conventional plasticizers, surfactants, perfumes, flavoring
agents or other additives may be optionally employed in an amount which does not influence
the stability of the faropenem (salt).
[0024] Suitable plasticizers include triacetine, diacetyl ethylene glycol, diethyl sebacate,
diethyl phthalate, dibutyl phthalate, diisopropyl adipate, dibutyl succinate. Suitable
surfactants include polyoxyl stearate 40, polyoxyethylene hydrogenated castor oil,
polyoxyethylene polyoxypropylene glycol, Polysorbate, sucrose esters of fatty acids.
Suitable flavoring agents include sodium, saccharin or the like. Stabilizers such
as calcium disodium edetate or the like may also be used as judged appropriate.
[0025] The composition of the present invention may further contain appropriate amounts
of perfumes such as menthol, carboxylic acids, anethole, eugenol, methyl salicylate,
limonene, ocimene, citronellol, methyl acetate, methyl eugenol, vanillin, thymol,
spearmint oil, peppermint oil, lemon oil, orange oil, rosemary oil, cinnamon oil,
eucalyptus oil and pimento oil alone or in combination.
[0026] If necessary, higher alcohols, higher fatty acids, shellac-ethylcellulose, ethylcellulose,
carnauba wax, hydroxypropylmethylcellulose acetate succinate and solubilizing agents
therefor may be used alone or in combination to effect control of the release of the
faropenem (salt) from the base or to mask the odor of the faropenem (salt).
[0027] The composition of the present invention comprise a base selected from those which
have been confirmed in terms of their stability, and hence, which may be applied by
various application methods without being limited to any specific one. For example,
the ointment is suitable for any one of topical external application on the skin for
the treatment of acne, urogenital application, oral application for the treatment
of infectious periodontitis or the like.
[0028] In accordance with the present invention, it is also provided processes for preparing
the composition of the invention.
[0029] The process of the invention is characterized in that a non-aqueous base is provided
without any use of water in its preparation which would otherwise affect the stability
of the faropenem (salt). The process for preparing the composition of the present
invention is described in detail below.
[0030] Three basic alternatives can be mentioned as methods for preparing the composition
of the present invention, i.e., dispersion method, fusion method and solubilizing
method.
[0031] In the dispersion method, a homogeneous dispersion of the faropenem (salt) in a non-aqueous
base is prepared by thoroughly grinding, pulverizing and kneading the active component,
to make suitable the crystalline active component for topical administration. A preferred
particle diameter of the faropenem (salt) is preferably 500 µm or less, normally 100
µm or less. For small scale production, the faropenem (salt) is mixed and thoroughly
triturated with a portion of the base using an ointment slab and an ointment spatula
or a mortar and a pestle. Subsequently, the rest of the base and other additives are
added and trituration is continued until overall homogeneity is achieved. For large
scale production, machines such as three roller machines, roll mills, kneaders, grinders
or mixers are used. These machines may be used optionally under a reduced pressure
or under heating. In such a case, the optimal stirring speed will be between 25 and
100 rpm and a preferred vacuum level ranges from 60 to 80 cmHg. A suitable heating
temperature is between 35 to 60°C depending on the stability of the active component.
If necessary, the resulted particles may be screened.
[0032] In the fusion method, since the active component is readily soluble in water, and
its activity is lowered by hydrolysis, the faropenem (salt) is first wet-triturated
in a non-aqueous base such as a small amount of liquid paraffin. Subsequently, the
other components are successively admixed in an order that increases the ability of
the component to solubilize the faropenem (salt), to thereby finally accomplish overall
homogeneity. Fusion may be carried out under heating and stirring, if necessary. A
suitable heating temperature is between 35 to 60°C. An ointment jar and a water bath
may be used for small scale production, while machines such as a three roller machine,
grinders and mixers will be used in a water bath for large scale production. During
the process, an optimal stirring speed is between 25 to 100 rpm and a preferred vacuum
level is 60 to 80 cmHg. Particles may be filtered or screened, if necessary.
[0033] The solubilizing method comprises the use of a non-aqueous solvent compatible with
the non-aqueous base since the faropenem (salt) is readily soluble in water and its
activity is lowered by hydrolysis. For example, a solution of the faropenem (salt)
in methanol or ethanol is kneaded with a non-aqueous base, optionally under heating
or stirring. A suitable heating temperature is between 35 to 60°C. The solution in
which the faropenem (salt) has been dissolved is mixed and thoroughly triturated with
a portion of the base, then further triturated with the rest of the base and other
additives to provide overall homogeneity. Mixing or trituration is performed with
an ointment slab and an ointment spatula or a mortar and a pestle for small scale
production. For large scale production, a three roller machine, roller mills, kneaders,
grinders and mixers or the like are used. These machines may be used optionally under
reduced pressure and an optimal agitation speed is between 25 to 100 rpm and the vacuum
level is preferably 60 to 80 cmHg. Optionally, particles may be filtered or screened.
[0034] The methods described above are preferably carried out under conditions which are
free from not only water but also any other external factors which may potentially
affect the stability of the faropenem (salt). Such external factors include, for example,
high temperatures, light and oxygen, which would all cause a deterioration in the
active component, i.e. the faropenem (salt).
[0035] The step of filling the composition into a container should also be carried out under
conditions which are free from any of the stated external factors. Namely, the shape
of the container should be capable of preventing contact with such external factors
and also be able to properly maintain the stability of the active component of the
composition. Specific examples include bottles or jars made from glass, plastics and
synthetic resins, or tubes made from metals, plastics and laminates. To seal the container,
a screw cap is used to effect closure for bottles and jars, or folding a metal tube
filled from its bottom end or contact-bonding a similarly filled plastic tube between
hot plates, or contact-bonding a similarly filled laminate tube under heat such as
high frequency or supersonic wave can also be employed.
[0036] The shape of the container may be selected depending on the intended use. Thus, in
addition to the shapes mentioned above, the container may have a shape which enables,
for example, direct application or injection of the composition at various body sites.
One example is a container designed to discharge the composition by a piston-like
rod from an injection cylinder or a syringe made from plastic or synthetic resin.
EXAMPLES
[0037] The following examples further illustrate the present invention using Compound 1
without, however, limiting the same thereto.
Example 1
[0038]
| Component |
% by weight |
| Compound 1 |
2.5 1) |
| Hydrocarbon gel 2) |
97.5 |
| 1) 2.0% as free anhydride (the same applies below) |
| 2) Plastibase, available from Bristol-Myers Squibb Co.(the same applies below). |
[0039] Compound 1 was mixed with hydrocarbon gel to overall homogeneity to give the desired
composition.
Example 2
[0040]
| Component |
% by weight |
| Compound 1 |
6.2 3) |
| Hydrocarbon gel |
93.8 |
| 3) 5.0% as free anhydride. |
[0041] Compound 1 was mixed with hydrocarbon gel to overall homogeneity to give the desired
composition.
Example 3
[0042]
| Component |
% by weight |
| Compound 1 |
12.4 4) |
| Hydrocarbon gel |
87.6 |
| 4) 10.0% as free anhydride. |
[0043] Compound 1 was mixed with hydrocarbon gel to overall homogeneity to give the desired
composition.
Example 4
[0044]
| Component |
% by weight |
| Compound 1 |
2.5 |
| White petrolatum |
97.5 |
[0045] Compound 1 was mixed with white petrolatum to overall homogeneity to give the desired
composition.
Example 5
[0046]
| Component |
% by weight |
| Compound 1 |
2.5 |
| Purified lanolin |
97.5 |
[0047] Compound 1 was mixed with purified lanolin to overall homogeneity to give the desired
composition.
Example 6
[0048]
| Component |
% by weight |
| Compound 1 |
2.5 |
| Carmellose sodium |
2.0 |
| Hydrocarbon gel |
95.5 |
[0049] Compound 1 was mixed with a dispersion of carmellose sodium in hydrocarbon gel to
give the desired composition. This composition is particularly suitable for oral application
as a therapeutic agent for periodontal diseases.
Example 7
[0050]
| Component |
% by weight |
| Compound 1 |
2.5 |
| Xanthan gum |
2.0 |
| Hydrocarbon gel |
95.5 |
[0051] Compound 1 was mixed with a dispersion of xanthan gum in hydrocarbon gel to give
the desired composition. This composition is suitable for oral application as a therapeutic
agent for periodontal diseases.
Example 8
[0052]
| Component |
% by weight |
| Compound 1 |
2.5 |
| Liquid paraffin |
0.2 |
| Hydrocarbon gel |
97.3 |
[0053] Compound 1 was wet-kneaded with liquid paraffin and then mixed with hydrocarbon gel
to overall homogeneity to give the desired composition.
Example 9
[0054]
| Component |
% by weight |
| Compound 1 |
2.5 |
| Ethanol |
0.1 |
| Hydrocarbon gel |
97.4 |
[0055] Hydrocarbon gel was added in portions into a solution of Compound 1 in ethanol and
mixed to overall homogeneity to give the desired composition.
Stability test of penem-containing composition
[0056] A plastic container filled with a composition containing Compound 1 prepared according
to the 5 formulations of Examples 1, and 4 to 7 was sealed with a screw cap. The container
was stored at 40°C, 75% relative humidity (RH) for 1 month or 2 months or at room
temperature for 1 month. Any observable change in the appearance of the composition
was evaluated, and at the same time, the potency of the antibiotic was determined
by high-performance liquid chromatography, from which the residual retention (%) to
the initial potency was calculated.
[0057] Conditions for high-performance liquid chromatography were as follows. A stainless
steel high-performance liquid chromatography column charged with octadecylsilylated
silica gel was used. Column temperature was maintained at 40°C. The mobile phase consisted
of Solution A containing 45 mM potassium dihydrogenphosphate, 5 mM sodium monohydrogenphosphate
and 5 mM tetra-n-butylammonium bromide and Solution B comprising a 1:1 mixture of
Solution A and acetonitrile. The mobile phase initially contained 16% of Solution
B, then once analysis was started, Solution B was gradually increased to 70% over
54 minutes. The flow rate was controlled so that the retention time of Compound 1
was 24 minutes. The detector used was a UV spectrophotometer at a wavelength of 240
nm.
[0058] As controls, the following formulations using hydrophilic bases were also tested
in the same manner.
Control 1
[0059]
| Component |
% by weight |
| Compound 1 |
2.5 1) |
| Hydrophilic ointment |
97.5 |
| 1) 2.0% as free anhydride |
[0060] Compound 1 was mixed with hydrophilic ointment to overall homogeneity to give the
composition of Control 1.
Control 2
[0061]
| Component |
% by weight |
| Compound 1 |
2.5 1) |
| Absorptive ointment |
97.5 |
| 1) 2.0% as free anhydride |
[0062] Compound 1 was mixed with absorptive ointment to overall homogeneity to give the
composition of Control 2.
[0063] Results are shown in Table 1.

[0064] As shown in Table 1, combinations of Compound 1 with non-aqueous bases such as hydrocarbon
gel, white petrolatum and purified lanolin provided stable compositions, and their
stability was not adversely affected even by the addition of water-soluble polymer
compounds such as carmellose sodium and xanthan gum as thickening agents. In contrast,
when a water-absorbing ointment or hydrophilic ointment with hydrophilicity was used
as a base, the active component was inactivated after storage at 40°C for 2 months,
or even after storage at room temperature for 1 month, and the properties of the composition
were changed with a significant decrease in the residual titer of Compound 1 to generate
many decomposition products including hydrolyzates, hydrolytic isomerization products
and cleavage products of Compound 1.
[0065] Thus, the compositions in which Compound 1 was admixed into a non-aqueous bases according
to the present invention were stable, and their stability was not affected even by
addition of a water-soluble polymer compound.
[0066] A similar stability was observed when the composition according to the formulation
of Example 1 was stored at room temperature for 3 years.
Advantageous effects of the Invention
[0067] According to the present invention, the very unstable penem antibiotic faropenem
or salts thereof can be formulated into a stable composition by using hydrophobic
(polymer) compounds as bases without the stability of the active component faropenem
being compromised by further addition of water-soluble polymer compounds, to thereby
provide antibacterial compositions which can be widely used in dermatological, ophthalmologic,
otolaryngologic, dental/oral surgical and urogenital fields.
1. An antibacterial composition for topical administration comprising (+) - (5R, 6S)-6-[(R)-1-hydroxyethyl]
-7-oxo-3-[(R) - 2-tetrahydrofuryl]-4-thia-1-azabicyclo[3.2.0]hepto-2-ene-2-carboxylic
acid or a pharmaceutically acceptable salt thereof in a non-aqueous base comprising
a hydrophobic compound.
2. The composition of claim 1 wherein the hydrophobic compound is one or more members
selected from the group consisting of hydrocarbon gel, paraffin, liquid paraffin,
white petrolatum, hydrophilic petrolatum, petrolatum, microcrystalline wax, plant
oils, carnauba wax, beeswax, stearic acid, stearyl alcohol, cacao butter, cetanol,
hard fat, white ointment, simple ointment, ceresin and Eudragit (aminoalkyl methacrylate
copolymer E, aminoalkyl methacrylate copolymer RS, methacrylic acid copolymer L, methacrylic
acid copolymer S, ethyl acrylate methyl methacrylate copolymer emulsion).
3. The composition of claim 2 wherein the hydrophobic compound is a hydrocarbon gel or
white petrolatum.
4. The composition of claim 1 further comprising one or more additives selected from
gelatinizers, thickening agents, viscosifiers, viscosity enhancers and elasticizers,
incorporated in the non-aqueous base.
5. The composition of claim 1 further comprising one or more of water-soluble or hydrophilic
polymer compounds incorporated in the non-aqueous base.
6. The composition of claim 5 wherein the water-soluble or hydrophilic polymer compound
is one or more members selected from the group consisting of carmellose, carmellose
sodium, polyvinyl alcohol, polyvinyl pyrrolidone, polyacrylic acid, sodium polyacrylate,
hydroxymethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, hydroxyethylcellulose,
hydroxyethylmethylcellulose, xanthan gum, tragacanth gum, guar gum, locust bean gum,
arabic gum, chitosan, sodium alginate, starches, gelatins, hydrophobic hydroxypropylmethylcellulose,
which is incorporated at 0.1 to 10% by weight on the basis of the composition.
7. Use of a composition as defined in any of claims 1 to 6 for the manufacture of an
externally used dermatological preparation having antibacterial activity.
8. Use of a composition as defined in any of claims 1 to 6 for the manufacture of an
externally used dental preparation having antibacterial activity.
1. Antibakterielle Zusammensetzung für die topische Verabreichung, welche (+)-(SR,6S)-6-[(R)-1-Hydroxyethyl]-7-oxo-3-[(R)-2-tetrahydrofuryl]-4-thia-1-azabicyclo[3.2.0]hepto-2-en-2-carbonsäure
oder ein pharmazeutisch annehmbares Salz davon in einer nichtwäßrigen Grundlage umfaßt,
die eine hydrophobe Verbindung umfaßt.
2. Zusammensetzung gemäß Anspruch 1, worin die hydrophobe Verbindung eine oder mehrere
ist, die man aus der Gruppe bestehend aus Kohlenwasserstoffgel, Paraffin, flüssigem
Paraffin, weißem oder entfärbtem Petrolatum, hydrophilem Petrolatum, Petrolatum, mikrokristallinem
Wachs, Pflanzenölen, Carnaubawachs, Bienenwachs, Stearinsäure, Stearylalkohol, Kakaobutter,
Cetanol, Hartfett, weißer Salbe, einfacher Salbe, Ceresin und Eudragit (Aminoalkylmethacrylat-Copolymer
E, Aminoalkylmethacrylat-Copolymer RS, Methacrylsäure-Copolymer L, Methacrylsäure-Copolymer
S, Ethylacrylat·Methylmethacrylat-Copolymer-Emulsion) auswählt.
3. Zusammensetzung gemäß Anspruch 2, worin die hydrophobe Verbindung ein Kohlenwasserstoffgel
oder weißes oder entfärbtes Petrolatum ist.
4. Zusammensetzung gemäß Anspruch 1, die ferner ein oder mehrere Additive umfaßt, die
unter Gelbildnern, Verdickungsmitteln, viskosmachenden Additiven, die Viskosität fördernden
Additiven und Elastifizierungsmitteln ausgewählt werden, die man in die nichtwäßrige
Grundlage inkorporiert.
5. Zusammensetzung gemäß Anspruch 1, die ferner eine oder mehrere wasserlösliche oder
hydrophile Polymerverbindungen umfaßt, die man in die nichtwäßrige Grundlage inkorporiert.
6. Zusammensetzung gemäß Anspruch 5, worin die wasserlösliche oder hydrophile Polymerverbindung
eine oder mehrere ist, die man aus der Gruppe bestehend aus Carmellose, Carmellosenatrium,
Polyvinylalkohol, Polyvinylpyrrolidon, Polyacrylsäure, Natriumpolyacrylat, Hydroxymethylcellulose,
Hydroxypropylcellulose, Hydroxypropylmethylcellulose, Hydroxyethylcellulose, Hydroxyethylmethylcellulose,
Xanthangummi, Tragantgummi, Guargummi, Johannisbrotbaumsamengummi, Gummi arabikum,
Chitosan, Natriumalginat, Stärken, Gelatine, hydrophober Hydroxypropylmethylcellulose
auswählt, die man in einer Menge von 0,1 bis 10 Gew.% auf der Basis der Zusammensetzung
inkorporiert.
7. Verwendung einer Zusammensetzung, wie sie in einem der Ansprüche 1 bis 6 definiert
ist, zur Herstellung eines extern verwendeten dermatologischen Präparats mit antibakterieller
Aktivität.
8. Verwendung einer Zusammensetzung, wie sie in einem der Ansprüche 1 bis 6 definiert
ist, zur Herstellung eines extern verwendeten Dentalpräparats mit antibakterieller
Aktivität.
1. Composition antibactérienne pour administration topique, comprenant de l'acide (+)-(SR,6S)-6-[(R)-1-hydroxyéthyl]-7-oxo-3-[(R)-2-tétrahydrofuryl]-4-thia-1-azabicyclo[3.2.0]hepto-2-ène-2-carboxylique
ou un sel pharmaceutiquement acceptable de celui-ci dans un excipient non aqueux comprenant
un composé hydrophobe.
2. Composition selon la revendication 1, dans laquelle le composé hydrophobe comprend
une ou plusieurs substances choisies parmi le groupe consistant en un gel hydrocarboné,
une paraffine, une paraffine liquide, la vaseline blanche, la vaseline hydrophile,
la vaseline, une cire microcristalline, les huiles végétales, la cire de carnauba,
la cire d'abeille, l'acide stéarique, l'alcool stéarylique, le beurre de cacao, le
cétanol, une graisse hydrogénée, une pommade blanche, une pommade simple, la cérésine
et l'Eudragit (émulsion de copolymère de méthacrylate d'aminoalkyle E, copolymère
de méthacrylate d'aminoalkyle RS, copolymère d'acide méthacrylique L, copolymère d'acide
méthacrylique S, copolymère d'acrylate d'éthyle et de méthacrylate de méthyle).
3. Composition selon la revendication 2, dans laquelle le composé hydrophobe est un gel
hydrocarboné ou de la vaseline blanche.
4. Composition selon la revendication 1, comprenant en outre un ou plusieurs additifs
choisis parmi les agents gélatinisants, les agents épaississants, les agents de viscosité,
les agents d'accroissement de viscosité et les agents d'élasticité, incorporés dans
l'excipient non aqueux.
5. Composition selon la revendication 1, comprenant en outre un ou plusieurs composés
polymères solubles dans l'eau ou hydrophiles incorporés dans l'excipient non aqueux.
6. Composition selon la revendication 5, dans laquelle le composé polymère soluble dans
l'eau ou hydrophile comprend une ou plusieurs substances choisies parmi le groupe
consistant en la carmellose, la carmellose sodique, l'alcool polyvinylique, la polyvinylpyrrolidone,
l'acide polyacrylique, le polyacrylate de sodium, l'hydroxyméthylcellulose, l'hydroxypropylcellulose,
l'hydroxypropylméthylcellulose, l'hydroxyéthylcellulose, l'hydroxyéthylméthylcellulose,
la gomme de xanthane, l'adragante, la gomme de guar, la gomme de caroube, la gomme
arabique, le chitosane, l'alginate de sodium, les amidons, les gélatines, l'hydroxypropylméthylcellulose
hydrophobe, incorporées à raison de 0,1 à 10 % en poids par rapport à la composition.
7. Utilisation d'une composition telle que définie dans l'une quelconque des revendications
1 à 6, pour la préparation d'un produit dermatologique à usage externe ayant une activité
antibactérienne.
8. Utilisation d'une composition telle que définie dans l'une quelconque des revendications
1 à 6, pour la préparation d'un produit dentaire à usage externe ayant une activité
antibactérienne.